Distress Tolerance and Anxiety Sensitivity Cognitive Concerns: Testing the Incremental Contributions of Affect Dysregulation Constructs on Suicidal Ideation and Suicide Attempt
Distress Tolerance and Anxiety Sensitivity Cognitive Concerns: Testing the Incremental Contributions of Affect Dysregulation Constructs on Suicidal Ideation and Suicide Attempt
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DOI：
10.1016/j.beth.2012.12.002
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发表时间：
2013-09-01
期刊：
影响因子：
3.7
通讯作者：
Schmidt, Norman B.
中科院分区：
文献类型：
--
作者：
Capron, Daniel W.;Norr, Aaron M.;Schmidt, Norman B.
实证研究表明，自杀相关的结果之间的关系和几个结构相关的影响失调，特别是焦虑敏感性（AS）和痛苦的容忍度（DT）。然而，重要的问题仍然存在，包括这些影响调节变量的相对贡献以及DT对自杀意念和先前尝试的直接贡献。目前的研究试图更好地阐明这些关系的性质，通过检查AS，DT，自杀意念和企图在临床样本（N=192）。与先前的工作和预测一致，研究结果显示，在考虑DT，性别和抑郁症状的影响后，AS认知关注子因素与自杀意念和自杀企图史之间存在显着关系。此外，抑郁症状显着调节AS认知关注子因素和自杀意念之间的关系。在考虑AS的影响后，分析显示DT在预测自杀意念方面接近显著性，但不能显著预测自杀企图史。这些结果表明，AS认知问题的升高与抑郁症状背景下的自杀特别相关。临床医生可能会从对那些认同自杀风险升高以及AS认知问题升高的个人实施AS减少策略中受益。
Empirical work has suggested relationships among suicide-related outcomes and several constructs related to affect dysregulation, notably anxiety sensitivity (AS) and distress tolerance (DT). However, important questions remain, including the relative contributions of these affect regulation variables as well as the direct contribution of DT on suicidal ideation and prior attempts. The current study sought to better elucidate the nature of these relationships by examining AS, DT, and suicidal ideation and attempt in a clinical sample (N=192). Consistent with prior work and prediction, findings revealed a significant relationship between the AS cognitive concerns subfactor and suicidal ideation and suicide attempt history after accounting for the effects of DT, gender, and depressive symptoms. In addition, depressive symptoms significantly moderated the relationship between the AS cognitive concerns subfactor and suicidal ideation. After accounting for the influence of AS, analyses revealed that DT approached significance in predicting suicidal ideation, but did not significantly predict suicide attempt history. These results suggest that elevated AS cognitive concerns are particularly relevant to suicide in the context of depressive symptoms. Clinicians may benefit from implementing AS reduction strategies with individuals who endorse elevated suicide risk as well as elevated AS cognitive concerns.